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Antibiotics for Diabetic Wounds

One of the apparent and depressing complications of Diabetes is diabetic wound infections which usually occurs at the foot and lower extremity which has led to amputation. While diabetic foot infections is very common, they are often mismanaged, especially with regard to the use of antibiotics, which may entail know how on the basic diagnostics, culture techniques, pathogenic isolates, and the selection of appropriate antibiotic.

Wound Infection commonly occurs among patients with type 2 diabetes secondary to a neuropathic ulceration. Neuropathy results to disorder and instability in the sensory, motor and autonomic function of the limbs resulting to tissue failure or trauma. Once the protective epidermal layer is debased, the underlying tissues become susceptible to germs, bacterial and fungal infection, which can extend rapidly to deeper tissues that would entail amputation or even lead to death.

The type of antibiotics to be used to treat a diabetic would depend on the intensity of the wound. A mild diabetic food infection would normally require a 14 day treatment. Antibiotics to be used for this type of wound should equally be mild such as Bactrim DS bid Penicillin VK 500mg, ciprofloxacin 750mg or Levofloxacin 750mg. A complicated diabetic foot ulcer which would entail a patient to stay in the hospital for continuous monitoring would require stronger antibiotics such as ampicillin-sulbactam 1.5 to 3 grams, ticarcillin-clavulanic acid 3.1 grams, vancomycin 1 gram, doripenem 500mg among others. Generally, minor infections should be treated with narrow spectrum antibiotics while severe infections should be treated with broad spectrum antibiotics. Based on the above, recognizing the signs and symptoms of diabetic foot infection is critical.

There is a need to culture the infected wounds in order to correctly diagnose the type of infection and serve to guide antibiotic therapy. It is important to understand and predict the predilection of microorganisms in order to clearly identify what medicine to use to treat and fight of the bacteria, fungi or germs.

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